Healthcare Provider Details

I. General information

NPI: 1396379533
Provider Name (Legal Business Name): EMERGE TRANSPORT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2020
Last Update Date: 04/13/2024
Certification Date: 04/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4803 VILABELLA DR
SEBRING FL
33872-2357
US

IV. Provider business mailing address

PO BOX 4054
WINTER HAVEN FL
33885-4054
US

V. Phone/Fax

Practice location:
  • Phone: 863-250-3900
  • Fax:
Mailing address:
  • Phone: 863-446-0603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSEPH RONALD
Title or Position: OWNER
Credential:
Phone: 863-250-3900